2015 Ryan White Part A Charlotte Transitional Grant Area (TGA) - - PowerPoint PPT Presentation

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2015 Ryan White Part A Charlotte Transitional Grant Area (TGA) - - PowerPoint PPT Presentation

Sep 05, 2022 277 likes •436 views

2015 Ryan White Part A Charlotte Transitional Grant Area (TGA) Overview HIV/AIDS Surveillance Data Update Donna E Smith, MSPH New Infections Epidemiology Specialist Mecklenburg County Health Department September 6, 2016 Testing PLWHA

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2015 Ryan White Part A Charlotte Transitional Grant Area (TGA)

Questions??? PLWHA Testing New Infections Overview

HIV/AIDS Surveillance Data Update

Donna E Smith, MSPH Epidemiology Specialist Mecklenburg County Health Department September 6, 2016

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National Snapshot of HIV/AIDS

More than 1.2 million people in the US are living with HIV 44,000 people were newly diagnosed in 2014

Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2014. HIV Surveillance Report 2015;26.

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Rates of HIV Diagnoses Among Adults and Adolescents in the US in 2014, by State

Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2014. HIV Surveillance Report 2015;26.

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Lifetime Risk of HIV, by State

Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2014. HIV Surveillance Report 2015;26.

Lifetime Risk of HIV is highest in the South 1 in 93 chance of HIV diagnosis in NC 1 in 86 chance of HIV diagnosis in SC

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Ryan White Program: Charlotte TGA

  • Includes 5 counties in NC
  • Anson
  • Cabarrus
  • Gaston
  • Mecklenburg
  • Union
  • Includes 1 county in SC
  • York
  • Nearly 2.3 million people live in

the region.

Large Metropolitan Statistical Area (MSA) Population Growth Trends

Source: US Census 2010

2015 Ryan White Part A Epi Update: OVERVIEW

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Number of Newly Diagnosed Persons with HIV* in the Charlotte Transitional Grant Area, 2011 - 2015 413 331 314 396 375

50 100 150 200 250 300 350 400 450

2011 2012 2013 2014 2015

Number of Persons Year of Diagnosis

2015 New HIV Diagnoses by County (Percent of Total ) Anson 1% Cabarrus 3% Gaston 8% Mecklenburg 77% Union 5% York, SC 6%

*All persons diagnosed with HIV infection by year of first diagnosis, regardless of the stage of infection (HIV or AIDS) Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit Prepared by: MCHD Epidemiology Program 08/2016

2015 Ryan White Part A Epi Update: New Infections

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2011 – 2015 Rate of Newly Diagnosed Persons with HIV*(per 100,000) in the Charlotte Transitional Grant Area, NC and SC

Year of Diagnosis

*All persons diagnosed with HIV infection by year of first diagnosis, regardless of the stage of infection (HIV or AIDS) Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit Prepared by: MCHD Epidemiology Program 08/2016

2015 Ryan White Part A Epi Update: New Infections

24.5 19.2 18.2 22.1 20.8

15.3 13 13.4 13.3 13.4

16.1 15.2 15.3 16.1 15.4 2011 2012 2013 2014 2015

Charlotte TGA North Carolina South Carolina

Rate of New Infections Per 100,000

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2015 HIV Testing Efforts at Public Health Funded Counseling and Testing Sites by County

Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit Prepared by: MCHD Epidemiology Program 08/2016

2015 Ryan White Part A Epi Update: Testing Efforts

County Number of Tests Overall Positivity Rate % New Positives Anson, NC 880 0.3% 0.1% Cabarrus, NC 2,024 0.5% 0.4% Gaston, NC 6,912 0.8% 0.3% Mecklenburg, NC 17,332 2.5% 1.3% Union, NC 1,479 0.9% 0.6% York, SC 858 1.2%

  • TOTAL TGA

29,485 1.8% 0.9%

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Persons Living with HIV* in Charlotte TGA as of 12/31/2015 by County of Current Residence Anson

83

Cabarrus

372

Gaston

648

Meck.

6,283

Union

265

York, SC

455

Persons Living with HIV in TGA

8,106

Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit Prepared by: MCHD Epidemiology Program 08/2016

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Persons Living with HIV* in Charlotte TGA as of 12/31/2015 by County of Current Residence

Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit Prepared by: MCHD Epidemiology Program 08/2016

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Persons Living with HIV* in Charlotte TGA as of 12/31/2015 by County of Current Residence Total = 8,106

Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit

71.7% 28.3% By Gender Male Female

5,808 Males 2,298 Females

Prepared by: MCHD Epidemiology Program 08/2016 30.3% 7.3% 57.9% 2.9% 1.6% Heterosexual-All IDU MSM MSM/IDU

By Exposure Category

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Racial and Ethnic Differences among Persons Living with HIV in Charlotte TGA

0.5% 67.0% 6.5% 22.8% 2.9%

Asian/Pacific Islander Black/African American Hispanic/Latino White/Caucasian Multiple Race

Persons Living with HIV in Charlotte TGA by Race/Ethnicity Total= 8,106

3.0% 21.7% 9.4% 63.5% 1.9% Asian/Pacific Islander Black/African American Hispanic/Latino White/Caucasian Multiple Race

Persons Living Residing in Charlotte TGA by Race/Ethnicity Total= 2,298,915

Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit US Census Bureau Prepared by: MCHD Epidemiology Program 08/2016

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Syphilis Cases Increase Across TGA

2 7 5 24

8 11 7 22

3 26 24 15 23

ANSON CABARRUS GASTON UNION YORK, SC

2015 2014 2013

2013 – 2015 Newly Diagnosed Early Syphilis (Primary, Secondary, Early Latent) Cases

149 274 405

50 100 150 200 250 300 350 400 450

2013 2014 2015

Mecklenburg, NC

  • Between 2013 and 2015 Early

Syphilis cases increased by 14% in the TGA

  • Increases were most noted in

Cabarrus, Gaston, Union and Mecklenburg.

Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit

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Additional HIV Surveillance Data

Online at:

http://epi.publichealth.nc.gov/cd/stds/figures/std15rpt.pdf

Online at:

www.scdhec.gov/Health/DiseasesandConditions/ InfectiousDiseases/HIVandSTDs/DataandReports/